Pet Memorial Form


I would like my pet's picture and memorial posted on Companion Animal Hospital's *

I will *

By submitting this form you agree to Companion Animal Hospital's use of your pet's image on their website ( and/or their memorial board in the hospital. Your information will not be sent to any third parties. Please contact us at or by phone at 902-434-3111 if at any time you'd like your pet's picture removed from our website and/or hospital memorial wall.

Security Question *